Lisa Ann Knauff, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005699L Issued in PA

Practice address

204 Eagle Valley Mall
East Stroudsburg, PA 18301-1315

Phone

(570) 424-1706

Fax

(570) 424-6711

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Miss Lisa Ann Pugliese Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1770650293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 BUCK RIDGE DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 EAGLE VALLEY MALL",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011315",
            "telephone_number": "570-424-1706",
            "fax_number": "570-424-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUFF",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005699L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2784978000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50065516",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1917290",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "820837",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PUGLIESE",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Amorese Kiner, OTR/L
• Shirley King, RN
• Rachel Ella Kinney, D.O,
• Scott K Kissell, D.P.M.
• Jessica Rae Klugh, AT
• Karen Koberlein
• Kathy Koberlein, PT
• Nalini Sadashiv Konrad, BPHARM
• Agata Kopacz
• Dariusz Koscielniak, MD

• Physical Therapist in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.